Grandes misterios. ¿Puedes ver al monstruo del lago Ness?: el modelo biopsicosocial y las actividades comunitarias

Turabián, José Luis; Franco, Benjamín Pérez

doi:10.1157/13101801

Cited by 10 publications

(4 citation statements)

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“…15 21 22 In fact, all variables regarding the opinions and attitudes of healthcare workers were significantly different between cases and controls. This suggests that individuals who perform CAs have similar attitudes: they employ a biopsychosocial 12 37 practice model, are more oriented towards health promotion, show recognition of the need for citizen participation in health services and are more left-leaning in ideology. We also found that social sensitivity was an important variable in the model for professionals.…”

Section: Discussionmentioning

confidence: 99%

Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case–control studies

et al. 2017

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ObjectiveSpanish primary healthcare teams have the responsibility of performing health-promoting community activities (CAs), although such activities are not widespread. Our aim was to identify the factors related to participation in those activities.DesignTwo case–control studies.SettingPerformed in primary care of five Spanish regions.SubjectsIn the first study, cases were teams that performed health-promoting CAs and controls were those that did not. In the second study (on case teams from the first study), cases were professionals who developed these activities and controls were those who did not.Main outcome measuresTeam, professional and community characteristics collected through questionnaires (team managers/professionals) and from secondary sources.ResultsThe first study examined 203 teams (103 cases, 100 controls). Adjusted factors associated with performing CAs were percentage of nurses (OR 1.07, 95% CI 1.01 to 1.14), community socioeconomic status (higher vs lower OR 2.16, 95% CI 1.18 to 3.95) and performing undergraduate training (OR 0.44, 95% CI 0.21 to 0.93). In the second study, 597 professionals responded (254 cases, 343 controls). Adjusted factors were professional classification (physicians do fewer activities than nurses and social workers do more), training in CAs (OR 1.9, 95% CI 1.2 to 3.1), team support (OR 2.9, 95% CI 1.5 to 5.7), seniority (OR 1.06, 95% CI 1.03 to 1.09), nursing tutor (OR 2.0, 95% CI 1.1 to 3.5), motivation (OR 3.7, 95% CI 1.8 to 7.5), collaboration with non-governmental organisations (OR 1.9, 95% CI 1.2 to 3.1) and participation in neighbourhood activities (OR 3.1, 95% CI 1.9 to 5.1).ConclusionsProfessional personal characteristics, such as social sensitivity, profession, to feel team support or motivation, have influence in performing health-promoting CAs. In contrast to the opinion expressed by many professionals, workload is not related to performance of health-promoting CAs.

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Section: Discussionmentioning

confidence: 99%

Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case–control studies

et al. 2017

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“… 7–9 Most of the PHC professionals have adopted a model of care, based on individual care, focused on disease and with very little teamwork. 10 Nowadays, the implementation of CAs in Spanish health centres is unevenly distributed 11 and is often implemented solely due to the voluntarism of the professionals. 12 Many reasons for this have been identified.…”

Section: Introductionmentioning

confidence: 99%

Observational study on factors related to health-promoting community activity development in primary care (frAC Project): a study protocol

et al. 2012

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IntroductionAccording to Spanish health regulations, primary care professionals have the responsibility to carry out health-promoting community activities (CAs). However, in practice, their implementation is not as widespread as it should be. The aims of this study were to identify factors within the team, the community and the professionals that influence the development of these activities and to describe the community interventions in progress.Methods and analysisThis study is an observational analytical retrospective study. The information will be collected from five Spanish regions: Catalonia, Madrid, the Balearic Islands, Navarra and Aragón. The authors will contact primary care teams (PCTs) and identify the CAs from the previous year. The research team will conduct a peer review whether the inclusion criteria are met. In the health centres where CAs are implemented, the authors will select professionals carrying them out and randomly select an identical number of professionals not doing these activities. In the centres where no CA is implemented, three professionals will be randomly selected. The selected professionals will complete the questionnaires for individual-level variables. Information about the registered population and the PCTs will be collected through questionnaires and secondary sources.OutcomesVariables will be collected from the community, the PCTs, the individual professionals and CAs.AnalysisA descriptive analysis of all the variables will be carried out, along with a bivariate and a logistic regression analysis, with CAs being the primary outcome.Ethics and disseminationThis study has been approved by the Research Ethics Committee of the Jordi Gol y Gurina Foundation in Barcelona and area 11 in Madrid. The questionnaire distributed to the professionals will be anonymous.

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“…The way to "expand" the therapeutic capacity of the general practitioner is not so much to increase the use of drugs exhaustively, but to open new doors to possible conflicts posed by patients: stuck crises, dysfunctional interactions, etc. The aim is to make that the intervention be meaningful: useful for the patient and his family [13,[30][31][32] . Talking about participation is talking about "adult-adult contracts."…”

Section: ~ 47 ~mentioning

confidence: 99%

Community medicine from the point of view of the general practitioner: “Never plump your foot straight into your shoe in the morning"

Turabián¹

2018

Int. J. Adv. Community Med.

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This article aims to reflect and show the changes that community medicine has to be applied from general medicine. The basic concepts of general medicine / family medicine print important special and differential features to the tasks and tools of community medicine, and these have not been sufficiently conceptualized, systematized and highlighted. The three key elements of general medicine, which are the clinical interview, continuity of care and attention to context, have fundamental implications in relation to community medicine. So, on the one hand, the "classic" concepts of community medicine as epidemiology, biostatistics, social medicine, planning, health education, and health promotion, suffer changes and modifications when understood and applied from general medicine; for example, regarding the knowledge of the prevalence and incidence based on the consultations, knowledge of the natural history of a disease, the screening becomes "case finding", the importance of work on small geographic bases increases, as well as Bayesian probability, and concept of "opportunistic prevention" appears. On the other hand, the concept of "community" is modified and replaced by "context"; The practice of community medicine in general medicine is "contextual medicine", which means sharing and empowerment in the connections in the relational matrix of the patient, and this may favor contextual empowerment, that is to say the increase of individual capacity among people who participate in a group action that brings about a consequence about some kind of resources or control of the decision-making process. In conclusion, general practitioner should not apply the concepts of community medicine as person who "plump the foot straight into shoe in the morning", in an unspecified or unreflective manner, as he may be risking finding a "centipede inside" and losing the advantages offered by general medicine.

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Grandes misterios. ¿Puedes ver al monstruo del lago Ness?: el modelo biopsicosocial y las actividades comunitarias

Cited by 10 publications

References 8 publications

Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case–control studies

Factors related to the development of health-promoting community activities in Spanish primary healthcare: two case–control studies

Observational study on factors related to health-promoting community activity development in primary care (frAC Project): a study protocol

Community medicine from the point of view of the general practitioner: “Never plump your foot straight into your shoe in the morning"

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